[A sudden C3-C4 tetraplegia revealing an intracranial dural arteriovenous draining into the spinal medullary veins]. / Tétraplégie brutale C3-C4 révélant une fistule durale artérioveineuse intracrânienne à drainage veineux périmédullaire.
Ann Fr Anesth Reanim
; 24(10): 1297-301, 2005 Oct.
Article
en Fr
| MEDLINE
| ID: mdl-16185835
ABSTRACT
We report a case of intracranial dural arteriovenous (DAVF) draining into the spinal medullary veins. A 49-year-old woman presented a rapidly progressive ascending myelopathy resulting in a C3-C4 tetraplegia associated with acute respiratory failure at the twelfth hour. MRI revealed swelling of the cervical spinal cord, hyperintensity on T2 and enhancement of enlarged veins on MR angiography. A conventional angiography showed the DAVF with venous drainage into the spinal vein extending to the conus medullaris. After embolization, neurological recovery occurred during the first week, allowing tracheal extubation on day 2. Clinical, radiological and therapeutic aspects of this uncommon pathology are presented.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Anastomosis Arteriovenosa
/
Cuadriplejía
/
Columna Vertebral
/
Bulbo Raquídeo
Tipo de estudio:
Etiology_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
Fr
Revista:
Ann Fr Anesth Reanim
Año:
2005
Tipo del documento:
Article
País de afiliación:
Francia